Endocrine Abstracts

Background: Currently only 26% of children and young people with diabetes achieve national targets. Developmentally appropriate interventions including age specific learning outcomes and goals, delivered by trained educators, which are auditable and can be integrated into routine practice are recommended to optimise the management of children and young people (CYP) with diabetes and promote lifelong self-management.Method: Health care professionals in th...

Forum for injection technique (FIT) recommendations for lipohypertrophy (LH) detection influenced clinical examination technique with the aim of improving practice and health outcomes for children and young people (CYP). Interactive LH workshops were developed to influence a change in care provision and facilitate swift integration into clinical practice.The event was delivered to MDT representatives from the CYP diabetes network. A structured clinical e...

Introduction: Currently despite NICE (2004) recommending continuous glucose monitoring (CGM) in the presence of hypoglycaemic unawareness or glucose excursions successful funding applications remain low with only children under 5 years of age being consistently successful within our service. Variability has also been noted as to whether children young people (CYP) and their families use sensors continuously or intermittently. This audit aimed to highlight effectiveness of cont...

Introduction: Lipohypertrophy (LH) is common in children and young people (CYP) with diabetes on both insulin injection and infusion therapy. Suboptimal injection and rotation, the presence of LH as well as increased use of insulin have all been associated with glycaemic variability, hypoglycaemia and raised HbA1c. Evidence based and data driven recommendations led to the Forum for Injection Technique 4th edition UK consensus document (FIT 2016). The latest edition also includ...

Introduction: Currently group education facilitation skills are not part of foundation nurse, medical or dietetic training. Additionally there is no nationally recognised evidence based structured education programme for paediatrics which meet the DoH criteria (2005). Consequently paediatric diabetes teams cannot access group facilitation skills through programmes such as DAFNE and DESMOND in contrast to colleagues working with adults. A one day workshop on group facilitation ...

Introduction: There is increasing emphasis on stringent glycaemic control (HbA1c <48 mmol/mol) within the first year of diagnosis for all types of diabetes, to preserve metabolic memory and reduce future risk of sub-optimal diabetes outcomes. Retrospective data collected on two previous annual cohorts of children and young people (CYP) with diabetes revealed only 9% achieved the HbA1c < 48 mmol/mol target at 12 months post diagnosis despite initial HbA1c improvement un...